Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $194.98	Professional		$107.15	$112.20	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $114.82 / $218.78	Facility		$112.20	$114.82	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $363.08	Professional		$107.15	$112.20	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $114.82 / $323.59	Facility		$112.20	$114.82	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66